Name * First Name Last Name Email * Why would you make a great coach? What's a struggle in the past that you've overcome that you would like to help others with? Or do you have an area of expertise? Survey Some of these questions might bring you deeper levels of personal awareness. We hope you will answer openly and honestly because our intention is to help you right where you are. I am healthy and feeling good about my overall fitness level. Strongly Disagree Disagree Neutral Agree Strongly Agree For the most part, I have strong relationships with my friends and family. Strongly Disagree Disagree Neutral Agree Strongly Agree My work is meaningful and fulfilling, I enjoy what I do. Strongly Disagree Disagree Neutral Agree Strongly Agree I have a fun lifestyle and get to do the things I enjoy like traveling, hobbies, and nice dinners. Strongly Disagree Disagree Neutral Agree Strongly Agree People can count on me, I am someone people trust with what's going on in their lives. Strongly Disagree Disagree Neutral Agree Strongly Agree I have achieved financial freedom. Strongly Disagree Disagree Neutral Agree Strongly Agree I'm a confident person and love myself. Strongly Disagree Disagree Neutral Agree Strongly Agree My life feels meaningful. Strongly Disagree Disagree Neutral Agree Strongly Agree I would like to- Get coached Become a coach Gain more financial freedom Be able to work remote and travel more Join a community of other entreprenurs Have the best tools and resources Take courses and get certified Learn what coaches know Be in the Success Circle All of the above If I helped you could make an extra $80,000+ a year (FOR LIFE) what would that be worth to you? * $0 $700 $2000 $5000 $7000 $10,000 $12,000 $15,000 $25,000 $40,000+ Phone (###) ### #### Thank you! We will be in contact with you very soon.